WILLIAM A SMULLEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036040221

License Status

NOT RENEWED

Business

First Name

WILLIAM A

Last Name

SMULLEN

Suffix

Business Name

WILLIAM A SMULLEN MD

Original Issue Date

03/02/1966

Effective Date

03/02/1966

City

MARSHFIELD

State

Zip

54449

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/20/2006